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Deficit Reduction Act Compliance: Certification Requirements for New Jersey Providers & MCOs

November 9, 2022

Background on the DRA The federal Deficit Reduction Act of 2005 (DRA) included new requirements related to fraud, waste and abuse for Medicaid plans that received or made payments of $5 million dollars or more in any ...

The Symbiotic Relationship of Federal and State Standards Related to Professional Licensing

September 5, 2022

Healthcare professional licensing and certification is controlled by states and local jurisdictions.  All healthcare professionals must apply for licensure by the state (s) in which they intend to practice medicine....

Texas TULIP Challenges for Nursing Facility Administrators

May 11, 2022

The Texas Unified Licensure Information Portal (TULIP) is state’s web-based licensure system for the Health and Humans Services Commission (HHSC). TULIP was designed for licensed long-term care facilities and agencies,...

Licensure Verification

June 7, 2021

Introduction For most health care organizations, their primary purpose is to provide high quality patient care to support the best outcomes possible.  The qualifications and expertise of an organization’s medic...

Nursing Licensure Verification & Credentialing

April 27, 2021

It goes without saying that nursing licensure verification is a benefit to all stakeholders in our healthcare ecosystem.  Our licensing system allows patients to be satisfied that nursing professionals have the skil...

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Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

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